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Sample Record for 2017-11-06-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-11-06-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/06/2017
Date that the sample was received by the laboratory/organization performing the testing: 11/07/2017
The quantity of what the sample constitutes: 12ea
A brief description of the sample: A325 MG Rocap Assembiy
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s): TToo94966
Heat Number(s): 20492490, 166292, 41712300, 164942
Nut Mfg. Lot Number(s): Unytite 24445-166292
Washer Mfg. Lot Number(s): Prestige D4420, Turn a Sure 343Z16
Bolt Specification: A325 MG
Bolt Length(s): 2 3/4
Nut Specification: A563-DH
Washer Specification: F436, F959
Finish: MG
Diameter/Size: 3/4" x 2 3/4"
Bolt Mfg. Lot Number: SLSB BM0533
Rocap Test Requirement(s):
Lubricant Requirements(s): blue dye

Test Results